Individual
CAROLYN BRANTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2508 BERT KOUNS INDUSTRIAL LOOP STE 102, SHREVEPORT, LA 71118-3175
(318) 212-5777
(318) 212-5888
Mailing address
2508 BERT KOUNS INDUSTRIAL LOOP STE 102, SHREVEPORT, LA 71118-3175
(318) 212-5777
(318) 212-5888
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221058
LA
Other
Enumeration date
07/27/2021
Last updated
06/02/2025
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